NDC 80777-0113-80
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
COVID-19 mRNA Vac 6mo-11yr-Moderna IM Susp PFS 25 MCG/0.25ML
Reported by 14 hospitals in the network under the case rate methodology.
Based on 110 billing samples across every hospital reporting.
Low
$10
Average
$211
Median
$150
High
$431
Filter by billing methodology
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Showing only prices reported under the case rate methodology. Choose another in the filter above to change the chart. 14 hospitals; the 90th percentile is 2.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | Location | Approximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price. | |||||
|---|---|---|---|---|---|---|---|---|
| 1 | Boston Children's Hospital | Boston, MA | $10 | $10 | — | 110 | $10 | $616 |
| 2 | Sanford Worthington Medical Center | Worthington, MN | $151 | $150 | $4 | — | $116 | $285 |
| 3 | The Carle Foundation Hospital | Urbana, IL | $147 | $147 | $1 | — | $19 | $387 |
| 4 | Pekin Memorial Hospital | Pekin, IL | $147 | $150 | $8 | — | $46 | $171 |
| 5 | Methodist Medical Center of Illinois | Peoria, IL | $147 | $150 | $8 | — | $37 | $171 |
| 6 | Proctor Community Hospital | Peoria, IL | $147 | $150 | $8 | — | $46 | $171 |
| 7 | Carle BroMenn Medical Center | Normal, IL | $147 | $147 | — | — | $37 | $150 |
| 8 | Carle Eureka Hospital | Eureka, IL | $147 | $147 | — | — | $37 | $156 |
| 9 | Boston Medical Center | Boston, MA | $431 | $431 | — | — | $165 | $513 |
| 10 | Adena Health System | Chillicothe, OH | $404 | $404 | — | — | $70 | $404 |
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